Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mrs. Gina Rose, LCSW

Individual provider Clinical Social Worker · NPI 1194185686

Mrs. Gina Rose, LCSW is a Clinical Social Worker in Avon, Connecticut. Qualified in 2015, 11 years ago. Practices with Wct Behavioral Health and Medication Management PLLC, a 30-clinician group and offers telehealth.

Years since qualifying
11
In the registry since
2016
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

55 Great Meadow Ln
Avon, CT 06001-4549
Phone: (959) 226-8411
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1194185686
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedFebruary 26, 2016
Last updated in NPPESJune 30, 2026
Certification dateJune 30, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Wct Behavioral Health And Medication Management Pllc — 30 clinicians
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services

Other providers in Avon